[Epidural hematoma as the initial manifestation of moderately severe hemophilia A]

Epidural haematomas are rarely found in children; diagnosis can be difficult, as their symptoms are often atypic in the first years of life. Very few epidural haematomas were seen as the first manifestation of haemophilia. Ekchymoses of the skin, bleedings in the mouth and after trauma are usually observed here. As a consequence of the case reported here, we want to emphasize the importance of routine preoperative coagulation tests to discover a disorder of haemostasis unknown up to this point. Also the indication to hospitalize a child in order to survey him on the ward should be decided more often after head trauma, even if the symptoms the patient presents are not typical for epidural haematoma.